Cornwell Store, All About You Survey

With so many options and choices out there for products to use in your home, it’s hard to know where to start. Let us help!

We’ll use your answers on this survey to suggest specific and effective products that will fit your personal lifestyle. Your time is important to us, so let’s get started!
Take a minute and think about each of these areas of your life.

How satisfied are you with your...
Energy Level:

1

2

3

4

5

1 is Exhausted, 5 is Totally Energized
Sleep Quality:

1

2

3

4

5

1 is Poor, 5 is Sleep like baby
Immune Support:

1

2

3

4

5

1 is Poor, 5 is Confident in my Immune Support
We all want to make wellness a top priority. Sometimes we need a little push in the right direction. Select which option fits you best.
I'm Interested in:

SupplementsGummy SupplementsLiquid Supplements (Effervescent Tablets)
Please describe any products or supplements you currently use
When you’re feeling snack-y, what’s your go-to?

Wellness BarsProtein BarsMeal Replacement BarsPortable ProteinsEnergy BarsReady-to-Go ShakesCrunchy SnacksSweet but Healthy
From the list below, how can we make your workouts work better for you?
(Select all that apply.)

More EnergyStrength BuildingEnduranceBetter HydrationRecoveryI don't work out consistently right now
We all want to be confident in the skin we’re in!

How satisfied are you with your daily skincare concerns?
Skincare

1

2

3

4

5

1 is Poor, 5 is Glowing 24/7
I’m interested in:

CleanserMoisturizerEye CreamOther
Nobody’s perfect (although we know you’re pretty close).
What are your specific skincare concerns?

Dry SkinOily SkinFine Lines or WrinklesClogged PoresAcneSun/Age SpotsUneven Skin ToneSkin TextureOther
When thinking about cleaning (besides not wanting to), what’s important to you?

Simple & Easy to UseSafer for the EnvironmentStain RemovalAntibacterial/DisinfectantLaundry/Allergy & Dermatology testedKitchen/Dishes
We’ve talked about a few things, but what other topics are important to you?
Select all that apply

Hair, Skin & Nail HealthJoint HealthPersonal CareWeight LossOral HealthSports NutritionEnergy ManagementHome CareGut HealthKid’s HealthAir PurificationHeart HealthSkin HealthWater PurificationEye HealthAnti-AgingClean SkincareSleep HealthStress ManagementCosmeticsOther
How do you prefer to shop?

From the couch, on my phone.I’d love it if you ordered for me.
Pick your favorite way to communicate.*

TextPhoneEmail
We want to hear from you! Please submit any questions or feedback so we can put it to good use.
Just a few more questions...
Name*

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
We will be following up with you soon with more information about products that are specifically designed to fit your needs. Stay tuned!

Other incredible customer benefits:
- 180-day 100% MONEY-BACK SATIFACTION GUARANTEE
- FREE SHIPPNG promotions
- REWARDS POINTS PROGRAM with discounts for you!
Please verify that you are human*
Should be Empty: